NPI Code Details Logo

NPI 1922074210

NPI 1922074210 : PERSONAL HEALTH CARE SERVICES INC : ABINGDON, VA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1922074210
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    PERSONAL HEALTH CARE SERVICES INC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    02/27/2006
-----------------------------------------------------
    Last Update Date     |    07/21/2022
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    611 CAMPUS DR STE 300
-----------------------------------------------------
    City                 |    ABINGDON
-----------------------------------------------------
    State                |    VA
-----------------------------------------------------
    Zip                  |    24210-9701
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    276-623-4274
-----------------------------------------------------
    Fax                  |    276-623-4276
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    611 CAMPUS DR STE 300
-----------------------------------------------------
    City                 |    ABINGDON
-----------------------------------------------------
    State                |    VA
-----------------------------------------------------
    Zip                  |    24210-9701
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    276-623-4274
-----------------------------------------------------
    Fax                  |    276-623-4276
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    ADMINISTRATOR
-----------------------------------------------------
    Name                 |    MRS. JEAN W CARDWELL 
-----------------------------------------------------
    Credential           |    RN
-----------------------------------------------------
    Telephone            |    276-623-4274
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    3747P1801X
-----------------------------------------------------
    Taxonomy Name        |    Personal Care Attendant
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    VA
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.